综合护理对慢阻肺呼吸衰竭患者的应用效果及对睡眠质量的影响评价

The Effect of Comprehensive Nursing on Patients with Chronic Obstructive Pulmonary Respiratory Failure and Its Impact on Sleep Quality

目的:观察慢阻肺呼吸衰竭患者采取综合护理的临床应用效果以及睡眠质量。方法:选取2021年9月至2022年9月福建医科大学附属龙岩第一医院收治的慢阻肺呼吸衰竭患者71例作为研究对象,按照随机数字表法分为对照组(n=35)和观察组(n=36)。对照组行常规护理,观察组行综合护理。结果:1)护理前观察组汉密尔顿焦虑量表(HAMA)、抑郁量表评分(HAMD)对比对照组,差异无统计学意义(P>0.05),护理后观察组HAMA、HAMD低于对照组,差异有统计学意义(P<0.05);2)在护理前,观察组氧气分压、血氧饱和度对比对照组,差异无统计学意义(P>0.05),在护理后,观察组氧气分压、血氧饱和度对比对照组,差异有统计学意义(P<0.05);3)护理前观察组睡眠质量,生命质量对比对照组差异无统计学意义(P>0.05),在护理后观察组睡眠质量、生命质量优于对照组,差异有统计学意义(P<0.05);4)观察组满意度97.22%高于对照组,差异有统计学意义(P<0.05)。结论:针对慢阻肺呼吸衰竭患者,经综合护理,能够有效促进患者焦虑以及抑郁情况的缓解,能够起到调节患者睡眠质量的作用,有利于确保患者生命质量,优化患者血氧指标,进而提高患者对临床护理的满意度。

Objective:To observe the clinical effect and sleep quality of comprehensive nursing for patients with chronic obstructive pulmonary respiratory failure.Methods:A total of 71 patients with chronic obstructive pulmonary respiratory failure admitted to Longyan First Hospital Affiliated to Fujian Medical University from September 2021 to September 2022 were selected as the study subjects.They were randomly divided into a control group(n=35)and an observation group(n=36)using a random number table method.The control group received routine care,while the observation group received comprehensive care.Results:1)The Hamilton Anxiety Scale(HAMA)and Depression Scale(HAMD)scores of the observation group before nursing were not statistically significant compared to the control group(P>0.05),while the HAMA and HAMD scores of the observation group after nursing were lower than those of the control group,with a statistically significant difference(P<0.05).2)Before nursing,the oxygen partial pressure and oxygen saturation of the observation group were not significantly different from those of the control group(P>0.05).After nursing,the oxygen partial pressure and oxygen saturation of the observation group were significantly different from those of the control group(P<0.05).3)There was no statistically significant difference in sleep quality and quality of life between the observation group before nursing and the control group(P>0.05),but after nursing,the observation group had better sleep quality and quality of life than the control group,with a statistically significant difference(P<0.05).4)The satisfaction of the observation group was 97.22%which is higher than that of the control group,with a statistically significant difference(P<0.05).Conclusion:For patients with chronic obstructive pulmonary respiratory failure,comprehensive nursing can effectively promote the relief of anxiety and depression of patients,play a role in regulating the quality of sleep of patients,help ensure the quality of life of patients,optimize the blood oxygen index of patients,and improve the satisfaction of patient with clinical nursing.